{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T17:45:57Z","timestamp":1777398357594,"version":"3.51.4"},"reference-count":19,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2004,1,1]],"date-time":"2004-01-01T00:00:00Z","timestamp":1072915200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Angiology"],"published-print":{"date-parts":[[2004,1]]},"abstract":"<jats:p>The purpose of this study is to examine clinical progress and hemodynamic and electrocardi ologic features (QT depression and heart rate variability [HRV]) of patients exposed to a scorpion bite.<\/jats:p>\n                  <jats:p>Seventeen patients bitten by scorpions, and, as a control group, 15 healthy subjects were included in the study. Standard electrocardiograph (ECG) records, 24-hour Holter-ECG, and Doppler echocardiographic examinations were performed.<\/jats:p>\n                  <jats:p>Holter ECG indicated sinus tachycardia, sinus bradycardia, paroxysmal supraventricular tachycardia, atrial fibrillation, first-degree and second-degree atrioventricular block not requiring treatment, early atrial beats, and early ventricular beats in the patients at frequen cies of 82%, 12%, 35%, 12%, 8%, 70%, and 47%, respectively.<\/jats:p>\n                  <jats:p>HRV parameters that reflected parasympathetic activity (SD 35 \u00b113-43 \u00b116, RMS-SD: 20 \u00b19-30 \u00b1 12, high frequency: 7.8 \u00b12-4.3 \u00b13, p&lt;0.05) were significantly lower (p&lt;0.05). Low frequency, which especially showed sympathetic activity (LF: 11 \u00b1 13-11 \u00b123, p&gt;0.05), was similar in both groups. In addition, the LF\/HF ratio, which reflected sympathovagal balance, was significantly increased in the patient group (1.5 \u00b11-3.0 \u00b12, p = 0.005).<\/jats:p>\n                  <jats:p>Corrected QT and QT dispersion values were not significantly different with respect to the control (p&gt;0.05).<\/jats:p>\n                  <jats:p>In the patient group compared to the control, a significant decrease was determined in the proportion of mitral E velocity to mitral A velocity (mEv\/mAv), diastolic filling period (DFP), and left ventricular ejection fraction (LVEF), while a significant increase was noticed in pulmonary artery pressure (PAP) (mEv\/mAv: 0.9 \u00b10.4-1.7 \u00b10.6, DFP: 362 \u00b18.5-425 \u00b189, LVEF: 53.1 \u00b16.7-68.6 \u00b15.8, PAP: 38.1 \u00b113-27.2 \u00b16, p&lt;0.05).<\/jats:p>\n                  <jats:p>Scorpion bite leads to serious cardiovascular disorders, associated with decreased HRV, decreased systolic and diastolic functions, increased arrhythmic events, and hemodynamic disturbance with sympathetic and parasympathetic balance disturbance.<\/jats:p>","DOI":"10.1177\/000331970405500111","type":"journal-article","created":{"date-parts":[[2008,7,28]],"date-time":"2008-07-28T17:57:07Z","timestamp":1217267827000},"page":"79-84","source":"Crossref","is-referenced-by-count":7,"title":["Electrocardiologic and Echocardiographic Features of Patients Exposed to Scorpion Bite"],"prefix":"10.1177","volume":"55","author":[{"given":"Sait","family":"Alan","sequence":"first","affiliation":[{"name":"Department of Cardiology Department of Pediatrics, Dicle University School of Medicine, Diyarbakir, Turkey."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehmet S.","family":"Ulgen","sequence":"additional","affiliation":[{"name":"Department of Cardiology Department of Pediatrics, Dicle University School of Medicine, Diyarbakir, Turkey."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Murat","family":"Soker","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Dicle University School of Medicine, Diyarbakir, Turkey."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Faruk","family":"Geyik","sequence":"additional","affiliation":[{"name":"Department of Infection and Clinical Microbiology, Dicle University School of Medicine, Diyarbakir, Turkey."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aziz","family":"Karabulut","sequence":"additional","affiliation":[{"name":"Department of Cardiology Department of Pediatrics, Dicle University School of Medicine, Diyarbakir, Turkey."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nizamettin","family":"Toprak","sequence":"additional","affiliation":[{"name":"Department of Cardiology Department of Pediatrics, Dicle University School of Medicine, Diyarbakir, Turkey."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2004,1,1]]},"reference":[{"key":"atypb1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01711538"},{"key":"atypb2","first-page":"355","volume":"23","author":"Ramachandran LK","year":"1986","journal-title":"Indian J Biochem Biophys"},{"key":"atypb3","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(87)90795-8"},{"key":"atypb4","doi-asserted-by":"publisher","DOI":"10.1016\/0735-1097(91)90791-7"},{"key":"atypb5","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.93.5.1043"},{"key":"atypb6","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8159.1998.tb00182.x"},{"key":"atypb7","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(96)00127-0"},{"key":"atypb8","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.83.3.945"},{"key":"atypb9","first-page":"177","volume":"85","author":"Schwartz 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